| NPI | 1750659595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CO DR.0067198) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: PA MT-200204) |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: IL 036146762) | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA 139087) | |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2021-12-15 |